MONIKA SANDERS
Fort Wayne,Indiana
Summary
Empathetic Patient Access Representative known for high productivity and efficiency in task completion. Specialize in patient registration, insurance verification, and appointment scheduling. Excel in communication, problem-solving, and time management skills, ensuring smooth operations within healthcare settings. Commit to delivering exceptional patient service by utilizing soft skills effectively in fast-paced environments.
Overview
25
25
years of professional experience
Work History
PFS Billing Follow Up
Adventist Health
Roseville, CA
12.2024 - Current
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Performed account reconciliations between insurance companies and internal systems.
- Researched discrepancies on unpaid invoices and reconciled them.
- Analyzed claims data to identify trends in denials and rejections.
- Processed appeals related to denied or rejected claims in a timely manner.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Reached out to responsible companies and individuals to collect on outstanding debts.
RCM, A/R Specialist
Advantum Health
Louisville, KY
10.2023 - 08.2024
- Conduct timely follow-up on unpaid claims and collections for timely payments for a $3M client.
- Ensure compliance with billing regulations and guidelines.
- Identify and resolve issues with denied or rejected claims.
- Work with healthcare providers to ensure accurate charge capture and documentation.
- Communicate with insurance companies, patients, and stakeholders to resolve billing and coding issues.
- Quality Auditing.
Patient Access, Team Lead
IU Health
Fort Wayne, IN
05.2019 - 10.2023
- Recommended service improvements to minimize recurring patient issues and complaints.
- Led a team of twelve team members, including medical records.
- Train all new hires on duties for patient access and revenue cycle.
- Instrumental in implementing processes within the Primary Care office.
- I communicated with team members with updates from the Focus Meeting.
- Resolved customer complaints in a timely manner while maintaining high levels of customer service satisfaction.
- Promoted the importance of AIDET.
- Performed quality assurance audits on various processes within the department.
Billing Specialist
Shared Services Center
Fort Wayne, IN
04.2017 - 05.2019
- Enhance submission accuracy to minimize denials.
- Collaborated with payers to ensure accurate resolution of coding challenges.
- Liaised with healthcare providers to secure missing paperwork essential for successful claims processing.
Patient Registration Specialist
LUTHERAN MEDICAL GROUP
Fort Wayne, IN
06.2000 - 04.2017
- Verified insurance coverage for services provided by the facility.
- Scanned documents into electronic medical records system.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Ensured accuracy of all data entered into computer system.
- Greeted patients and visitors in a courteous and professional manner.
- Answered phones promptly in a professional manner.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Responded to patient inquiries regarding billing or financial matters.
Skills
- Problem Resolution
- Detailed Oriented
- Written/Verbal communication Skills
- Customer service
- Data entry
- HIPAA compliance
- Efficiently Managing High-Volume Tasks
- Multi-Line Communication
- Scheduling
Timeline
PFS Billing Follow Up
Adventist Health
12.2024 - Current
RCM, A/R Specialist
Advantum Health
10.2023 - 08.2024
Patient Access, Team Lead
IU Health
05.2019 - 10.2023
Billing Specialist
Shared Services Center
04.2017 - 05.2019
Patient Registration Specialist
LUTHERAN MEDICAL GROUP
06.2000 - 04.2017
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